Catastrophic Intramedullary Abscess Caused by a Missed Congenital Dermal Sinus
- Resource Type
- Article
- Authors
- Yun-Sik Dho; 김승기; 왕규창; 피지훈
- Source
- 대한신경외과학회지, 57(3), pp.225-228 Mar, 2015
- Subject
- 신경외과학
- Language
- English
- ISSN
- 1598-7876
2005-3711
Congenital dermal sinus (CDS) is a type of occult spinal dysraphism characterized by a midline skin dimple. A 12-month-old girl presented with feverand ascending quadriparesis. She had a midline skin dimple in the upper sacral area that had been discovered in her neonatal period. Imaging studies revealed a holocord intramedullary abscess and CDS. Overlooking CDS or misdiagnosing it as benign sacrococcygeal dimple may lead to catastrophic infection and cause serious neurological deficits. Therefore, further imaging work-up or consultation with a pediatric neurosurgeon is recommended following discovery of any atypical-looking dimples in the midline.